Orange Grove Center, Inc in Chattanooga - Intermediate Care Facility, Intellectual Disabilities

Orange Grove Center, Inc - NPI 1902017098

Orange Grove Center, Inc is a Intermediate Care Facility, Intellectual Disabilities in Chattanooga, Tennessee. Orange Grove Center, Inc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Orange Grove Center, Inc is 1902017098. The last update date is 2020-08-22.

Orange Grove Center, Inc's current location address is 615 Derby St, Chattanooga, Tennessee. You can contact this provider via phone number 4236291451 and fax number 4236241294. The mailing address for Orange Grove Center, Inc is 615 Derby St, Chattanooga, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Orange Grove Center, Inc
Address 615 Derby St, Chattanooga, Tennessee
Phone Number 4236291451
Fax Number 4236241294
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Hauth Kyle
Telephone Number 4236291451

NPI Number Detail

NPI Number 1902017098
Provider Enumeration Date 2007-05-24
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 615 Derby St
City Chattanooga
State Tennessee (TN)
Post Code 374041632
Phone Number 4236291451
Fax Number 4236241294

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No 3230961551
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7447115 TN --

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FAQs about Orange Grove Center, Inc

What is the Orange Grove Center, Inc's 1902017098?

The Orange Grove Center, Inc's NPI (National Provider Identifier) Number is 1902017098. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Orange Grove Center, Inc is located?

The Orange Grove Center, Inc is situated at the following address: 615 Derby St, Chattanooga, TN, 374041632.

What is the Orange Grove Center, Inc's area of specialization and corresponding taxonomy classification?

The Orange Grove Center, Inc's specialty field is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their specialties.

When did the Orange Grove Center, Inc receive its 1902017098?

The Orange Grove Center, Inc was issued its 1902017098 on 2007-05-24, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Orange Grove Center, Inc last refreshed?

The information related to the Orange Grove Center, Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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